NPIMap

Organization Active NPI

Knute J Hernas DDS PS

  • Dental Clinic/Center
  • Davenport, WA
National Provider Identifier
1891940789
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
601835986 Issued in WA
Legal business name
KNUTE J HERNAS DDS PS
Doing business as
Hernas Dental
Practice address
100 3Rd St
Suite 3
Davenport, WA 99122-5008
Phone
(509) 725-6281
Fax
(509) 725-6282
NPI assigned
Nov 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Knute J Hernas, DDSNPI 1720126477
Title
Owner/President
Phone
(509) 725-6281

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 601835986 WA Primary

Addresses

Primary practice location

100 3Rd St
Suite 3
Davenport, WA 99122-5008

Mailing address

100 3Rd St
Suite 3
Davenport, WA 99122-5008
Phone (509) 725-6281

Other identifiers 1

IdentifierTypeStateIssuer
5036009MedicaidWA

Other names 1

  • Hernas Dental Doing business as

National Provider Directory

National Provider Directory

Locations

100 3rd St
Ste 3
Davenport, WA 99122
Phone (509) 725-6281

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1891940789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 3RD ST",
            "address_2": "SUITE 3",
            "city": "DAVENPORT",
            "state": "WA",
            "postal_code": "991225008",
            "telephone_number": "509-725-6281",
            "fax_number": "509-725-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 3RD ST",
            "address_2": "SUITE 3",
            "city": "DAVENPORT",
            "state": "WA",
            "postal_code": "991225008",
            "telephone_number": "509-725-6281",
            "fax_number": "509-725-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNUTE J HERNAS DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "HERNAS",
        "authorized_official_first_name": "KNUTE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "509-725-6281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "601835986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5036009",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hernas Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davenport, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.